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Published on: February 29, 2020
[Tympanoplasty decision making in a child with HIV contamination--case report]
Józef Mierzwiński1, Ewa Smukalska, Marek Modrzyński
1Oddział Otolaryngologii Dzieciecej Wojewódzkiego Szpitala Dzieciecego w Bydgoszczy.
Abstract:
Otologic problems are infrequent in HIV patients. Authors present the case of chronic otitis media in the HIV infected child. The patient with significant hearing loss, and prolonged aural discharge, resistant to local and systemic antibiotic treatment was treated surgically. Mastoidectomy with myringoplasty was performed. The substantial hearing improvement has been obtained, ear discharge never returned. However due to episodes of chronic otitis media with effusion ear drainage with tympanostomy tubes, after initial surgery have been performed two times. The controversies regarding surgery decision-making in this group of patients are discussed.
Insights
Otologic issues are rare in HIV patients. Surgery for chronic otitis media in an HIV-infected child led to significant hearing improvement and resolved ear discharge.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Pediatrics
Background:
- Otologic problems are uncommon in individuals with Human Immunodeficiency Virus (HIV).
- Chronic otitis media presents unique challenges in immunocompromised patients.
Observation:
- A case study of an HIV-infected child with chronic otitis media, significant hearing loss, and persistent aural discharge is presented.
- The condition was resistant to conventional antibiotic therapies, necessitating surgical intervention.
Findings:
- Surgical treatment, including mastoidectomy with myringoplasty, resulted in substantial hearing improvement.
- Post-operative ear discharge resolved completely.
- Recurrent episodes of otitis media with effusion required two subsequent tympanostomy tube insertions.
Implications:
- Surgical management can be effective for chronic otitis media in HIV-infected children.
- The decision-making process for surgery in this patient group warrants careful consideration.
- Further research is needed to establish optimal surgical protocols for otologic conditions in HIV patients.
